Most Relevant Information
Provider Data
NPI Number: | 1003179284 |
Provider Name: | SARAH DENISE FENERTY M.D. |
Entity Type: | Individual |
Taxonomy Code: | 2085R0202X |
Specialty: | Radiology |
License Number: | MD460929 |
Most Important Dates
Enumeration Date: | 06/21/2012 |
Last Updated: | 09/11/2018 |
Provider Practice Location
3401 N BROAD ST
PHILADELPHIA
PA
191405103
Practice Location Phone/Fax
Phone: | 2157077237 |
Fax: | 2157079389 |
Provider Mailing Location
2450 W HUNTING PARK AVE
PHILADELPHIA
PA
191291302
Provider Mailing Phone/Fax
Phone: | 2157077237 |
Fax: | 2157079389 |